Kulcu Duygu Geler, Naderi Sait
Department of Physical Medicine and Rehabilitation, Yeditepe University School of Medicine, Yeditepe University Hospital, Devlet Yolu Ankara Caddesi No. 102/104 Kozyataği, Istanbul, Turkey.
J Clin Neurosci. 2008 Nov;15(11):1246-52. doi: 10.1016/j.jocn.2008.01.017. Epub 2008 Sep 11.
The aim of this study is to present a series of 11 patients with non-discogenic sciatica (NDS), and to review the diagnostic techniques of careful clinical and radiological examination. The cases include lumbar radicular herpes zoster, lumbar nerve root schwannoma, lumbar instability, facet hypertrophy, ankylosing spondylitis, sacroiliitis, sciatic neuritis, piriformis syndrome, intrapelvic mass and coxarthrosis. The pain pattern and accompanying symptoms were the major factors suggesting a non-discogenic etiology. Pelvic MRI and CT scans, and sciatic nerve magnetic resonance neurography were the main diagnostic tools for diagnosis of NDS. The treatment of choice depended on the primary diagnosis. Detailed physical examinations with special attention paid to the extraspinal causes of sciatica and to pain characteristics are the major components of differential diagnosis of NDS.
本研究的目的是介绍11例非椎间盘源性坐骨神经痛（NDS）患者，并回顾仔细的临床和影像学检查的诊断技术。病例包括腰椎神经根性带状疱疹、腰神经根神经鞘瘤、腰椎不稳、小关节肥大、强直性脊柱炎、骶髂关节炎、坐骨神经炎、梨状肌综合征、盆腔内肿物和髋关节病。疼痛模式及伴随症状是提示非椎间盘源性病因的主要因素。盆腔磁共振成像（MRI）和计算机断层扫描（CT）以及坐骨神经磁共振神经造影是诊断NDS的主要诊断工具。治疗选择取决于初步诊断。详细的体格检查，特别关注坐骨神经痛的脊柱外病因及疼痛特征，是NDS鉴别诊断的主要组成部分。
